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		<div class="wxl_wrap">
			<div class="wep_cztdsy_box wxl_clr_66">
				<p class="wxl_f_14"><span></span>土地使用税税源信息采集</p>
				<div class="wxl_syxxcj_back" onclick="window.location.href='javascript:history.go(-1)'">
					<label></label>
					<span class="wxl_f_14">返回</span>
				</div>
				<form class="layui-form wxl_syxxcj_form" action="">
					<ul>
						<li>
							<span>已有土地增值税项目编号名称</span>
							<div class="layui-form-item">
							    <div class="layui-input-block">
							      <select name="interest" lay-filter="aihao">
							        <option value="0">111111111</option>
							        <option value="1" selected="">2222222222</option>
							      </select>
							    </div>
							</div>
						</li>
						<li>
							<span>纳税号人识别</span>
							<input type="text" placeholder="纳税号人识别" disabled="disabled" />
						</li>
						<li>
							<span>纳税人名称</span>
							<input type="text" placeholder="纳税号人识别" disabled="disabled"/>
						</li>
						<li>
							<span>土地增值税项目名称</span>
							<input type="text" placeholder="土地增值税项目名称" />
						</li>
						<li>
							<span>土地增值税项目编号</span>
							<input type="text" placeholder="土地增值税项目名称" disabled="disabled"/>
						</li>
						<li>
							<span>土地增值税项目所在行政</span>
							<div class="layui-form-item">
							    <div class="layui-input-block">
							      <select name="interest" lay-filter="aihao">
							        <option value="0">行政区划1</option>
							        <option value="1" selected="">行政区划2</option>
							      </select>
							    </div>
							</div>
						</li>
						<li>
							<span>土地增值税项目所处街乡</span>
							<div class="layui-form-item">
							    <div class="layui-input-block">
							      <select name="interest" lay-filter="aihao">
							        <option value="0">地区1</option>
							        <option value="1" selected="">地区1</option>
							      </select>
							    </div>
							</div>
						</li>
						<li>
							<span>土地增值税项目详细地址</span>
							<input type="text" placeholder="土地增值税项目详细地址" />
						</li>
						<li>
							<span>开户银行</span>
							<input type="text" placeholder="开户银行" />
						</li>
						<li>
							<span>银行账户</span>
							<input type="text" placeholder="开户银行" />
						</li>
						<li>
							<span>行业类型</span>
							<input type="text" placeholder="行业类别" disabled="disabled" />
						</li>
						<li>
							<span>地址</span>
							<input type="text" placeholder="地址" disabled="disabled" />
						</li>
						<li>
							<span>邮政编码</span>
							<input type="text" placeholder="邮政编码" disabled="disabled" />
						</li>
						<li>
							<span>电话</span>
							<input type="text" placeholder="电话" disabled="disabled" />
						</li>
						<li>
							<span>项目建设起时间</span>
							<input class="layui-input" id="wxl_date1" type="text" placeholder="yyyy-MM-dd">
							<label class="wxl_date"></label>
						</li>
							<li>
							<span>项目建设终止时间</span>
							<input class="layui-input" id="wxl_date1" type="text" placeholder="yyyy-MM-dd">
							<label class="wxl_date"></label>
						</li>
						<li>
							<span>总预算成本</span>
							<input type="text" placeholder="总预算成本"  />
						</li>
						<li>
							<span>单位预算成本</span>
							<input type="text" placeholder="单位预算成本"  disabled="disabled"/>
						</li>
						<li>
							<span>t土地税源编号</span>
							<input type="text" placeholder="t土地税源编号" />
						</li>
						<li>
							<span>土地使用权受让（行政划拨）合同号</span>
							<input type="text" placeholder="t土地税源编号" />
						</li>
						<li>
							<span>受让（行政划拨）时间</span>
							<input class="layui-input" id="wxl_date2" type="text" placeholder="yyyy-MM-dd">
							<label class="wxl_date"></label>
						</li>
						<li>
							<span>不动产项目编号</span>
							<input type="text" placeholder="不动产项目编号"/>
						</li>
						<li>
							<span>不动产项目名称</span>
							<input type="text" placeholder="不动产项目名称"/>
						</li>
						<li>
							<span>开发土地总面积</span>
							<input type="text" placeholder="开发土地总面积"/>
						</li>
						<li>
							<span>房地产转让合同名称</span>
							<input type="text" placeholder="房地产转让合同名称"/>
						</li>
						<li>
							<span>备注</span>
							<input type="text" placeholder="房地产转让合同名称"/>
						</li>
						<li>
							<span>转让次序</span>
							<input type="text" placeholder="转让次序"/>
						</li>
						<li>
							<span>转让土地面积</span>
							<input type="text" placeholder="转让土地面积"/>
						</li>
						<li>
							<span>转让建筑面积</span>
							<input type="text" placeholder="转让建筑面积"/>
						</li>
						<li>
							<span>转让合同签订日期</span>
							<input class="layui-input" id="wxl_date3" type="text" placeholder="yyyy-MM-dd">
							<label class="wxl_date"></label>
						</li>
						<li>
							<span>项目所在地方税务机关</span>
							<div class="layui-form-item">
							    <div class="layui-input-block">
							      <select name="interest" lay-filter="aihao">
							        <option value="0">税务组织机构</option>
							        <option value="1" >税务组织机构</option>
							      </select>
							    </div>
							  </div>
						</li>
						<li>
							<span>主管税务机关</span>
							<div class="layui-form-item">
							    <div class="layui-input-block">
							      <select name="interest" lay-filter="aihao">
							        <option value="0">税务组织机构</option>
							        <option value="1" >税务组织机构</option>
							      </select>
							    </div>
							  </div>
						</li>
						<li>
							<span>评估机关</span>
							<div class="layui-form-item">
							    <div class="layui-input-block">
							      <select name="interest" lay-filter="aihao">
							        <option value="0">相应机关</option>
							        <option value="1" >相应机关</option>
							      </select>
							    </div>
							  </div>
						</li>
						<li>
							<span>受理人</span>
							<input type="text" placeholder="受理人" disabled="disabled" />
						</li>
						<li>
							<span>受理日期</span>
							<input type="text" placeholder="受理日期" disabled="disabled"/>
						</li>
						<li>
							<span>受理税务机关</span>
							<input type="text" placeholder="受理税务机关" disabled="disabled"/>
						</li>
						<li>
							<span>填表日期</span>
							<input type="text" placeholder="填表日期" disabled="disabled"/>
						</li>
					</ul>
					<div class="wep_cztdsy_save">
						<span id="wep_cztdsy_save" class="btn wxl_bg_blue wxl_clr_f" onclick="tdzzs_form.saveForm()">保存</span>
					</div>
				</form>
			</div>
		</div>
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